scholarly journals A randomized controlled trial to test the efficacy of the SCI Get Fit Toolkit on leisure-time physical activity behaviour and social-cognitive processes in adults with spinal cord injury

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Kelly P Arbour-Nicitopoulos ◽  
Shane N Sweet ◽  
Marie-Eve Lamontagne ◽  
Kathleen A Martin Ginis ◽  
Samantha Jeske ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Processes ◽  
Leisure Time ◽  
Social Cognitive ◽  
Leisure Time Physical Activity ◽  
Controlled Trial ◽  
Physical Activity Behaviour ◽  
Randomized Controlled ◽  
Cord Injury ◽  
Activity Behaviour

scholarly journals Exploring the feasibility and acceptability of a mixed-methods pilot randomized controlled trial testing a 12-week physical activity intervention with adolescent and young adult cancer survivors

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Amanda Wurz ◽  
Jennifer Brunet
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Physical Activity Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Physical Activity Behaviour ◽  
Adolescent And Young Adult ◽  
Post Intervention ◽  
Randomized Controlled ◽  
Activity Behaviour

Abstract Background Adolescent and young adult (AYA) cancer survivors (i.e. individuals diagnosed with cancer between 15 and 39 years and who completed treatment) may benefit from physical activity. Yet, few researchers have explored the effects of physical activity on physical and psychological outcomes among AYA cancer survivors. A pilot study exploring the feasibility and acceptability of a physical activity intervention and proposed trial methods to inform a definitive randomized controlled trial (RCT) is therefore necessary to fill this gap. Methods A two-arm, mixed-methods pilot RCT was conducted. Participants were randomized to a wait-list control group or a 12-week physical activity intervention comprised of 4 weekly aerobic and strength training sessions (intervention group). Feasibility measures included: number of AYA cancer survivors referred/self-referred, eligible, and recruited, retention to the trial (i.e. assessment completion), adherence to the physical activity intervention, and percentage of missing data for baseline (week 0), mid- (week 6), and post-intervention assessments (week 12). The acceptability of trial methods (all participants) and the intervention (intervention group only) was assessed via qualitative interviews post-intervention. Results Over a 12-month period, 31 AYA cancer survivors were referred/self-referred and 16 were eligible and consented to participate. Retention to the trial was 94% and adherence to the physical activity intervention ranged from 50 to 92%. With the exception of the assessment of aerobic capacity and directly measured physical activity behaviour, there were no missing data. Participants generally reported being satisfied with the trial methods and intervention; however, issues related to delivery of the physical activity intervention were identified. Conclusions The methods and intervention piloted require modification and further pilot testing in advance of a definitive RCT. Recruitment strategies identifying a greater number of younger AYA cancer survivors who have different types of cancers and who lack motivation to participate in physical activity-based studies should be explored. Refining the assessments of directly measured physical activity behaviour and aerobic capacity and incorporating behavioural support into the intervention may improve feasibility and acceptability. This study highlights the value of doing pilot work and provides critically useful data that can be used to refine studies seeking to assess causation and optimize physical activity interventions for AYA cancer survivors. Trial registration clinicaltrials.gov, NCT03016728. Registered January 11, 2017.

scholarly journals Unfavourable sedentary and physical activity behaviour before and after retirement: a population-based cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037659
Author(s):  
Nienke ter Hoeve ◽  
Maria Ekblom ◽  
Maria R Galanti ◽  
Yvonne Forsell ◽  
Carla F J Nooijen
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Physical Activity Behaviour ◽  
Population Based ◽  
Sedentary Behaviours ◽  
Effective Interventions ◽  
Activity Behaviour ◽  
At Home

BackgroundDuring transition to retirement there is often a rearrangement of daily life which might provide a key opportunity for interventions to promote a non-sedentary and active lifestyle. To be able to design effective interventions, it is essential to know which sedentary and physical behaviour domains (eg, at home or during leisure time) have potential to facilitate healthy ageing during the retirement transition.ObjectiveTo determine whether unfavourable sedentary and physical activity behaviour before retirement predict unfavourable sedentary and physical activity behaviour after retirement.DesignPopulation-based cohort.Setting and participantsAdults (n=3272) employed in 2010 but retired in 2014.MethodsSelf-reported preretirement job activity, sedentary leisure time, physical activity at home, and walking-cycling and exercise were assessed as predictors for unfavourable sedentary and physical activity behaviours after retirement using logistic regression. Unfavourable behaviours were defined based on the respective median of the cohort distribution. Furthermore, the OR for having multiple unfavourable behaviours after retirement was determined, based on the amount of unfavourable behaviours before retirement. All models were adjusted for gender and education.ResultsUnfavourable preretirement physical activity and sedentary behaviour at home or during leisure time were the strongest predictors of the same behaviours after retirement. Unfavourable job activity did not predict physical activity but did predict unfavourable sedentary behaviour after retirement (OR=1.66, 95% CI 1.41 to 1.96). Unfavourable exercise behaviour before retirement predicted unfavourable sedentary and physical activity after retirement in all domains. With all behaviours being unfavourable before retirement, the OR of having at least three unfavourable behaviours after retirement was 36.7 (95% CI 16.8 to 80.5).ConclusionsAdults with a higher number of unfavourable preretirement physical activity and sedentary behaviours are likely to carry these unfavourable behaviours into retirement age. Interventions should target those with more unfavourable preretirement physical activity and sedentary behaviours before retirement, and those interventions focusing on exercise might have greatest potential.

Greater daily leisure time physical activity is associated with lower chronic disease risk in adults with spinal cord injury

2009 ◽  
Vol 34 (4) ◽  
pp. 640-647 ◽  
Author(s):  
Andrea C. Buchholz ◽  
Kathleen A. Martin Ginis ◽  
Steven R. Bray ◽  
B. Catharine Craven ◽  
Audrey L. Hicks ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Cord Injury

The objective of this study was to examine the relationship between leisure time physical activity (LTPA) and common risk factors for cardiovascular disease (CVD) and type 2 diabetes in community-dwelling adults with chronic spinal cord injury (SCI). LTPA was measured using the Physical Activity Recall Assessment for People with SCI in 76 men and women with chronic (≥1 year) paraplegia or tetraplegia, living in or near Hamilton, Ontario. Body mass index (BMI), waist circumference, body composition (fat mass (FM) and fat-free mass (FFM)), blood pressure, and biochemical data were collected. Thirty-seven percent (n = 28 participants) were inactive, reporting no LTPA whatsoever, and were compared with an equal-sized group consisting of the most active study participants (≥25 min of LTPA per day). After adjusting for significant covariates, BMI (18.7%), %FM (19.4%), and C-reactive protein (143%) were all lower, and %FFM was higher (7.2%), in active participants (all p ≤ 0.05). Ten percent of active participants vs. 33% of inactive participants were insulin resistant (p = 0.03). Waist circumference (17.6%) and systolic blood pressure (15.3%) were lower in active vs. inactive participants with paraplegia (both p ≤ 0.05), but not tetraplegia. In conclusion, greater daily LTPA is associated with lower levels of selected CVD and type 2 diabetes risk factors in individuals living with SCI. Whether this relationship translates into a lower incidence of these chronic diseases has yet to be determined.

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